Organization
ST. JOHNS PHYSICIAN ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHENG SAMUEL CHEN MD, PH.D. (MD)
(713) 988-8860
Entity
Organization
Contact information
Practice address
3139 W HOLCOMBE BLVD, #615, HOUSTON, TX 77025-1505
(713) 988-8860
(713) 988-8861
Mailing address
PO BOX 981095, HOUSTON, TX 77098-8095
(713) 988-8860
(713) 988-8861
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K3125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154400901
—
TX
Enumeration date
03/16/2007
Last updated
05/13/2008
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